The holder whose full name is Griffin, Randall Lane,come from Cicero IN,hold the Dental Intern Permit license(NO.42000060A) which status is Expired.
| Name | Griffin, Randall Lane |
|---|---|
| License Number | 42000060A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Cicero |
| State | IN |